MRS. DEMETRIUS MCCLINTON WASHINGTON


Address: 1155 S Summer Breeze Ln, Anaheim, CA 92808-2529
Phone: 7142719843

MRS. DEMETRIUS MCCLINTON WASHINGTON (NPI# 1508124116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508124116
Entity Type Individual
Full Name MRS. DEMETRIUS MCCLINTON WASHINGTON
Credential FNP
Practice Address 1155 S Summer Breeze Ln
Anaheim
CA 92808-2529
Mailing Address 3440 Hollywood Blvd
Suite 460
Hollywood
FL 33021-6927
Practice Telephone 7142719843
Mailing Telephone 7142719843
Mailing Fax Number 1866986226
Enumeration Date 2012-05-02
Last Update Date 2020-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
21078 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers DEMETRIUS WASHINGTON

NPI Name Taxonomy Address Enumeration
1164826194 Demetrius Dewyane Washington Counselor 324 N 13th Ave, 1901 Baker Street, Arcadia, FL 34266-8922 2014-10-20

Office Location

Street Address 1155 S SUMMER BREEZE LN
City ANAHEIM
State CA
Zip Code 92808-2529

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861970378 Rebeca Martinez-higareda Specialist/Technologist 140 S. Chaparral Ct., Suite 110, Anaheim Hills, CA 92808 2018-08-06
1558875450 Latshikyan Dental Corporation Dentist 8162 E Santa Ana Canyon Rd Suite 104, Anahein, CA 92808 2017-11-30
1083153266 Jennifer Becker Social Worker 1368 S Country Glen Way, Anaheim, CA 92808 2017-02-21
1235573304 Suzanne Renee Molera Specialist/Technologist 160 Old Springs Rd., Ste. 100, Anaheim Hills Speech and Language Center, Anaheim Hills, CA 92808 2013-04-19
1346559317 Bernadette Pamulo Gonzales Nurse Practitioner 197 N. Mohler Drive, Anaheim Hills, CA 92808 2010-09-24
1437485653 Rebecca M. Maravilla, Od, Inc. Optometrist 781 S. Weir Canyon Road, Suite 195, Anaheim, CA 92808 2009-10-22
1710142153 Chris T Nguyen Dentist 911 South Brianna Way, Anaheim, CA 92808 2008-07-24
1619174331 Raymond Warner Social Worker 1900 E. 4th Street, 2nd Floor, Anaheim, CA 92808 2007-06-27
1437271582 Rebecca Marcia Maravilla Optometrist 781 S Weir Canyon Road, Suite 195, Anaheim Hills, CA 92808 2007-04-06
1649327412 Kimberlee Anne Anne Green Counselor 120 S. Fairmont Blvd., Anaheim, CA 92808 2007-01-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801497706 Ana Maria Cajigas De Jesus Nurse Practitioner 313 S Velva Pl, Anaheim, CA 92804-2647 2020-11-06
1063020766 Lysander Alto Nurse Practitioner 631 S Brookhurst St Ste A, Anaheim, CA 92804-3510 2020-07-20
1306462817 Celia Hernandez Perez Nurse Practitioner 1800 W Catalpa Ave, Anaheim, CA 92801-3514 2020-06-20
1093341414 Paul Joonhyuk Choi Nurse Practitioner 1745 N Landfair St, Anaheim, CA 92806-1109 2020-03-17
1710547252 Honey G Santos Nurse Practitioner 313 S Vicki Ln, Anaheim, CA 92804-2031 2019-06-17
1396208716 Jenn Marie C Virtudes Nurse Practitioner 1058 N Reiser Ct, Anaheim, CA 92801-3360 2019-04-11
1841773645 Diane Chung Nurse Practitioner 540 S Circulo Lazo, Anaheim, CA 92807-4302 2018-09-08
1063990133 Tina Shizuko Kami Nurse Practitioner 3356 W Ball Rd Ste 100, Anaheim, CA 92804-3727 2018-08-01
1093235699 Araba Sackey Nurse Practitioner 1091 S Matthew Way, Anaheim, CA 92808-1459 2017-06-23
1518493733 Oksana Pradun Nurse Practitioner 2111 East Ball Rd., Anaheim, CA 92806 2017-05-08
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Competitor

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City ANAHEIM
Zip Code 92808

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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